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Contact Information

HENDRICK PROVIDER NETWORK
1904 PINE ST
SUITE 200
ABILENE, TX79601-2344
 Phone: 325-670-4220
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Neurology

2084N0400X 13 Physician/Neurology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Rheumatology

207RR0500X 11 Physician/Internal Medicine
 

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for HENDRICK PROVIDER NETWORK

NPI Number 1396961322
LBN Legal business name HENDRICK PROVIDER NETWORK
Authorized official JOE PEARSON - (VP REGIONAL SERVICES)
Entity Organization
Organization subpart 1 No
Enumeration date 04/18/2007
Last updated 03/12/2013 - About 13 years ago
Identifiers
TX Medicaid 080866901
TX Other 0060AE BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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